Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,980.61 / $5,177.04	Facility		$1,961.00	$1,980.61	$5,177.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,980.61	Professional		$1,961.00	$1,961.00	$1,980.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,666.85 / $1,961.00 / $2,941.50	Facility		$1,666.85	$1,961.00	$2,941.50
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Professional		$1,961.00	$1,961.00	$1,961.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Facility		$1,961.00	$1,961.00	$1,961.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,035.00	Professional		$1,961.00	$1,961.00	$2,035.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,666.85 / $1,961.00 / $2,504.90	Professional		$1,666.85	$1,961.00	$2,504.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,980.61 / $5,177.04	Facility		$1,961.00	$1,980.61	$5,177.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,980.61	Professional		$1,961.00	$1,961.00	$1,980.61
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,850.00 / $1,961.00 / $1,961.00	Facility		$1,850.00	$1,961.00	$1,961.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,220.00	Professional		$1,961.00	$1,961.00	$2,220.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,451.25	Professional		$1,961.00	$1,961.00	$2,451.25